Vol. 7, Issue 10 (2018)

Author(s):
SV Petryshyn and ZR Ozhohan

Abstract:
The objective of the research was to increase the efficiency of complex diagnostics and the proposed orthopaedic treatment of patients with pathological dental abrasion, co-existent denture defects and dentition deformities based on a comparative assessment of the temporomandibular joint state. According to the results of our study, the use of both diagnostic and proposed orthopaedic methods of treatment with the aim of preparing patients with pathological tooth wear, co-existent denture defects and dentition deformities for orthopaedic treatment by gradual normalization of the vertical dimension of occlusion applying occlusive splints has several advantages over conventional methods of treatment. When using the Cadiax Compact system, there were determined the basic parameters that indicated functional disorders of the temporomandibular joint in patients of Group IV (the experimental group) with generalized form of pathological tooth wear, co-existent denture defects and dentition deformities. According to the results of clinical and condylographic study, gradual bite opening using splint set with a thickness of 1.0 to 5.0 mm until complete restoration of occlusive vertical dimension to normalize the jaw relationships in patients of Group IV (the experimental group) with generalized form of pathological tooth wear, co-existent denture defects and dentition deformities contributed to significant improvement of the biomechanical parameters of mandibular movements in the vertical, sagittal and transversal planes.